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SJLHD - UNDEF 'ROUND 'TANK CLOS URE/AILANDOI 'NT INSPL(,TIUN <br /> (SHADED ARE, „FO BE FILLED IN FOR THE FYITtT TANK ONLY) � <br /> s u E s7 RAc <br /> q�F HONTRACTOR <br /> WNER NAME O l OWNER PHONE 1 �nq_ �3S��a7 <br /> CON. PHONEI ' �77' 7- <br /> �o 372 <br /> R < SJLHD PERMIT 1 EPA 1 FIRE PERMIT 1 C�}�drLGo <br /> L � <br /> INSPECTO DATE ���r� TANK 1 39 <br /> RRINSED Y N) METHOD /N5`� RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 1 -OR- OTHER <br /> a V VAPORS PURGED ) METHOD �R� � AMOUNT USED <br /> \ A v <br /> P L.E.G. READING AT REMOVAL (MUST BE C 20%) GF L Z.Z \ <br /> 0 <br /> T R COMMENTS se i <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD,(POOR HOLES) kS7 ' _ No v�dLPS <br /> P N /{ <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) 1 FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPT SOIL TYPE OBSERVATION SAMPLE 1 <br /> T <br /> F A - <br /> I N of A^ <br /> E K <br /> D EXCAVATION SIZE: X X YDS OF SOIL: S I U S <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 1 <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I — <br /> 0 H DEPTH TO C.W. : j%l� _ FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> i <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> ]?1( 'l:) 04:1(7/88) DRAW SITE MAP ON REVERSE <br />